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目的了解某医院住院患者医院感染现状和抗菌药物使用情况,为加强医院感染管理提供参考。方法采用横断面调查方法,连续3年对某驻军医院住院患者进行医院感染现患率调查,评估医院感染管理现状。结果该医院2012-2014年连续3年住院患者医院感染现患率分别为3.95%、3.60%和2.82%。患者感染部位均以呼吸道感染居首位,占67.04%;其次是泌尿道感染,占9.73%。连续3年抗菌药物使用率分别为32.92%、22.50%和25.49%,呈现下降趋势;抗菌药物使用以一联用药和治疗性用药为主,预防性用药率下降。病原学标本送检率平均为49.81%。结论该医院住院患者医院感染现患率处于相关管理规范控制范围,抗菌药物使用趋于合理,需要关注某些重点科室医院感染管理薄弱环节。
Objective To understand the status of nosocomial infections and the use of antimicrobials in hospitalized patients in a hospital and provide references for strengthening the management of nosocomial infections. Methods The method of cross-sectional survey was used to investigate the prevalence rate of nosocomial infection in hospitalized patients in a certain military hospital for three consecutive years to evaluate the status of nosocomial infection management. Results The prevalence rates of nosocomial infections in hospital from 2012 to 2014 were 3.95%, 3.60% and 2.82%, respectively. Patients infected with respiratory tract infection were the first place, accounting for 67.04%; followed by urinary tract infection, accounting for 9.73%. The antibacterial drug use rates for three consecutive years were 32.92%, 22.50% and 25.49%, respectively, showing a downward trend; antibacterials were mainly used in combination with therapeutic drugs and prophylactic drug use rates decreased. The rate of etiological specimens was 49.81%. Conclusion The prevalence rate of nosocomial infection in the hospital is in the control range of relevant management norms, and the use of antimicrobial agents tends to be reasonable. We need to pay attention to the weak links in hospital infection management in some key departments.